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Recurrent methicillin-resistant Staphylococcus aureus (MRSA) septicaemia and pacemaker-lead-associated endocarditis following diagnostic gastroscopy
  1. Miles C Allison1,
  2. Jonathan A T Sandoe2,
  3. Thomas S J Elliott3
  1. 1Royal Gwent Hospital, Newport, UK
  2. 2Leeds General Infirmary, Leeds, UK
  3. 3University Hospital, Birmingham, UK
  1. Correspondence to Dr Miles C Allison, Consultant Physician and Clinical Director of Gastroenterology, Gwent Healthcare NHS Trust, Royal Gwent Hospital, Newport NP20 2UB, UK; milesallison{at}

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We thank Dr Majumdar and colleagues for their comments, and for their case description which at first sight appears to be unique in two respects. We are unaware of any previous case reports linking pacemaker infection to endoscopy; and our literature review for the guidelines failed to identify any previous reports of meticillin resistant Staphylococcus aureus (MRSA) bacteraemia following endoscopy. …

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